Martinez-Perez Daniel, Viñal David, Solares Isabel, Espinosa Enrique, Feliu Jaime
Department of Medical Oncology, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain.
Department of Internal Medicine, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.
Cancers (Basel). 2021 Nov 27;13(23):5968. doi: 10.3390/cancers13235968.
Uveal melanoma is a rare neoplasm with poor prognosis in the metastatic setting. Unlike cutaneous melanoma, treatment with kinase inhibitors or immune checkpoint inhibitors is not effective. Glycoprotein 100 (Gp-100) is a protein highly expressed in melanocytes and melanoma that has recently been effectively targeted by tebentafusp, a first-in-class bispecific protein of the immune-mobilizing monoclonal T cell receptors against cancer (ImmTACs) family. Tebentafusp targets tumor cells that express a peptide of Gp-100 presented by HLA*A0201, creating an immune synapse that kills targeted tumor cells. Recently, a randomized phase III trial reported an overall survival benefit for tebentafusp in patients with untreated metastatic uveal melanoma. The aim of this comprehensive review is to summarize evidence of Gp-100 as a therapeutic target in melanoma, and the preclinical and clinical development of tebentafusp as a novel therapeutic strategy for patients with uveal melanoma.
葡萄膜黑色素瘤是一种罕见的肿瘤,在发生转移的情况下预后较差。与皮肤黑色素瘤不同,用激酶抑制剂或免疫检查点抑制剂进行治疗无效。糖蛋白100(Gp-100)是一种在黑素细胞和黑色素瘤中高表达的蛋白质,最近已被tebentafusp有效靶向,tebentafusp是免疫动员单克隆T细胞受体抗癌(ImmTACs)家族中的首个双特异性蛋白。Tebentafusp靶向表达由HLA*A0201呈递的Gp-100肽的肿瘤细胞,形成免疫突触,杀死靶向的肿瘤细胞。最近,一项随机III期试验报告称,tebentafusp对未经治疗的转移性葡萄膜黑色素瘤患者有总体生存获益。这篇综述的目的是总结Gp-100作为黑色素瘤治疗靶点的证据,以及tebentafusp作为葡萄膜黑色素瘤患者新型治疗策略的临床前和临床研究进展。